Bevilacqua Kristin G, Tuchler Amanda M, Carvajal Diana N
Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA.
University of Maryland School of Medicine, Baltimore, USA.
PEC Innov. 2023 Jul 8;3:100190. doi: 10.1016/j.pecinn.2023.100190. eCollection 2023 Dec 15.
To explore clinician perspectives on the development, utility, and feasibility of a provider-facing point-of-care tool to assist in provision of patient-centered contraceptive care for Latina/x patients in Baltimore, MD.
We conducted 25 semi-structured qualitative interviews with a sample of clinicians who provide contraceptive care to Latina/x patients. An interview guide was developed based on prior research related to patient-centered care and extant point-of-care tools. Transcripts were independently coded by two study team members and analyzed using a directed content analysis approach.
Four themes emerged from the data: (1) clinician perception of a need for a tool to facilitate patient-centered contraceptive care, (2) concern for tool burden and burnout, (3) desire for tool ease of use, and (4) a need for cultural awareness during tool development to avoid bias and typecasting.
A provider-facing, point-of-care tool to facilitate patient-centered contraceptive counseling was acceptable among providers, provided the tool is easy to use and promotes cultural awareness.
In the current era of more limited reproductive choice across the U.S., the need and support for non-coercive, patient-centered contraceptive care is timely. A provider-facing, point-of-care tool can facilitate the provision of patient-centered care among clinicians proving contraceptive counseling to Latina/s.
探讨临床医生对于一种面向医疗服务提供者的即时医疗工具的开发、效用和可行性的看法，该工具旨在协助为马里兰州巴尔的摩市的拉丁裔/拉丁裔患者提供以患者为中心的避孕护理。
我们对为拉丁裔/拉丁裔患者提供避孕护理的临床医生样本进行了25次半结构化定性访谈。基于先前与以患者为中心的护理及现有即时医疗工具相关的研究，制定了一份访谈指南。两名研究团队成员对访谈记录进行独立编码，并采用定向内容分析法进行分析。
数据中出现了四个主题：（1）临床医生认为需要一种工具来促进以患者为中心的避孕护理；（2）对工具负担和倦怠的担忧；（3）对工具易用性的期望；（4）在工具开发过程中需要文化意识以避免偏见和刻板印象。
只要工具易于使用并能促进文化意识，一种面向医疗服务提供者的即时医疗工具，用于促进以患者为中心的避孕咨询，在医疗服务提供者中是可以接受的。
在美国目前生殖选择更为有限的时代，对非强制性、以患者为中心的避孕护理的需求和支持正合时宜。一种面向医疗服务提供者的即时医疗工具可以促进为拉丁裔提供避孕咨询的临床医生提供以患者为中心的护理。
